| Regimental number | 2923 |
| Place of birth | Ballarat Victoria |
| Religion | Church of England |
| Occupation | Horse trainer |
| Address | Glove Hotel, Glenelg, South Australia |
| Marital status | Married |
| Age at embarkation | 33 |
| Next of kin | Wife, Mrs Lillian Haines, c/o Mrs Ryder, 99 Pearson Street, West Brunswick, Victoria |
| Enlistment date | |
| Rank on enlistment | Private |
| Unit name | 50th Battalion, 7th Reinforcement |
| AWM Embarkation Roll number | 23/67/3 |
| Embarkation details | Unit embarked from Adelaide, South Australia, on board HMAT A19 Afric on |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 50th Battalion |
| Fate | Returned to Australia |
Postal Address:
Po Box 7916
Canberra BC 2610, Australia
Street Address:
Northcott Drive,
Campbell, ACT 2600
